| Molly Dee Cooper, | |
|
1600 Los Gamos Dr Ste 120, San Rafael, CA 94903-1807 | |
| (415) 209-2444 | |
| Not Available |
| Full Name | Molly Dee Cooper |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1600 Los Gamos Dr Ste 120, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871260067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Dee Cooper, 4000 Dyer Rd, Livermore, CA 94551-7489 Ph: (925) 819-6836 | Molly Dee Cooper, 1600 Los Gamos Dr Ste 120, San Rafael, CA 94903-1807 Ph: (415) 209-2444 |
Andrew Valla, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 750 Las Gallinas Ave, Suite 103, San Rafael, CA 94903 Phone: 415-492-8888 Fax: 415-492-8583 |
Bridget Leann Watterson, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Los Gamos Dr Ste 120, San Rafael, CA 94903 Phone: 415-444-7400 |
Ana Martha Tejeda, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1600 Los Gamos Dr Ste 120, San Rafael, CA 94903 Phone: 415-209-2444 |
Noemi Celio, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Los Gamos Dr Ste 120, San Rafael, CA 94903 Phone: 415-444-7400 |